| NPI | 1548461080 |
|---|---|
| Former Name | AMANDA RENEE BRUGGMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX M7882) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 51706) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2017-06-05 |